Trailer Inspection Form
Inspection Report ID
Inspection Date
-
Month
-
Day
Year
Date
Inspection Time
Hour Minutes
AM
PM
AM/PM Option
Company Name
License Number
Trailer/Truck Number
Trailer Type
Please Select
Flat
Van
Step
Double drop
Vehicle Information
Rows
Make
Model
Year
Vehicle
Odometer Reading
Driver's Name
First Name
Last Name
Inspector's Name
First Name
Last Name
Items to be inspected
Rows
Checked
Condition
Remarks
Tire condition
1
Excellent
Good
Poor
Available
Not available
Pressure check
2
Excellent
Good
Poor
Available
Not available
Wheel Hubs
3
Excellent
Good
Poor
Available
Not available
Bearings
4
Excellent
Good
Poor
Available
Not available
Trailer Axle
5
Excellent
Good
Poor
Available
Not available
Trailer Brakes
6
Excellent
Good
Poor
Available
Not available
Suspension
7
Excellent
Good
Poor
Available
Not available
Chassis
8
Excellent
Good
Poor
Available
Not available
Lightings
9
Excellent
Good
Poor
Available
Not available
Wiring
10
Excellent
Good
Poor
Available
Not available
Hitch
11
Excellent
Good
Poor
Available
Not available
Reflectors
12
Excellent
Good
Poor
Available
Not available
Safety chains
13
Excellent
Good
Poor
Available
Not available
Mirrors
14
Excellent
Good
Poor
Available
Not available
Pins
15
Excellent
Good
Poor
Available
Not available
Steering
16
Excellent
Good
Poor
Available
Not available
Horn
17
Excellent
Good
Poor
Available
Not available
Belts and hoses
18
Excellent
Good
Poor
Available
Not available
Seat Belts
19
Excellent
Good
Poor
Available
Not available
Fire Extinguisher
20
Excellent
Good
Poor
Available
Not available
First Aid Kit
21
Excellent
Good
Poor
Available
Not available
Remarks/Notes
Driver's Signature
Date Signed
-
Month
-
Day
Year
Date
Inspector's Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Should be Empty: